Daily Wellness Check - Moss Student

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Please read the question 3 carefully before answering.

Please read the last warning about changing the answers to no if your child has been cleared by the nurse.

UPDATED 3/22/22

Your child's first and last name *

Your first and last name *

Question 1: Has your child had ANY of the following symptoms within the past 14 days? *

Cough, shortness of breath, difficulty breathing, new olfactory disorder, new taste disorder

Yes

Question 2: Does your child have TWO OR MORE of the following symptoms TODAY? *

Fever (measure or subjective), chills, rigors (shivers),myalgia (muscle aches), headache, sore throat, nausea or vomiting, diarrhea, fatigue, congestion (or runny nose)

Yes

Question 3: Does any of the following apply to your child? *

Your child has been diagnosed with COVID-19 in the past 14 days regardless of vaccination status.

None of the above

Required

If you selected "Yes" to question 1 or 2, or if you did not select "None of the above" in question 3, please keep your child home and call the school nurse at 732-321-8700 ext. 2003.

IF THE NURSE HAS CLEARED your child to go to school, you can change the selections to "No" and "None of the above" even if the answers are yes in order to facilitate a smooth check-in process.

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